CASEY COUNTY HOSPITAL MEDICAL GROUP - NPI 1649454067 - Emergency Medicine in Liberty, KY

Q: What is Casey County Hospital District's NPI number?

The NPI number for Casey County Hospital District is 1649454067. It was assigned to this organization in the NPPES registry on December 20, 2007. The provider is doing business as Casey County Hospital Medical Group.

Q: What is Casey County Hospital District's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

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About Casey County Hospital Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASEY COUNTY HOSPITAL MEDICAL GROUP (NPI 1649454067) is a healthcare organization registered as an emergency medical services in Liberty, Kentucky and active in the NPI registry since December 2007. The organization lists Rex A Tungate, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649454067

Entity TypeOrganization

Primary Taxonomy207PE0004X

Legal Business NameCASEY COUNTY HOSPITAL DISTRICT

Location Address187 WOLFORD AVELiberty, KY 42539-3278

Mailing Address187 Wolford AveLiberty, KY 42539-3278 · (606) 787-6275 · Fax (606) 787-9717

Phone(606) 787-6275

Fax(606) 787-9717

Organization SubpartYesParent: Casey Co Hospital District

Authorized OfficialRex A TungateCeo · (606) 787-6275

Enumeration DateDecember 20, 2007

Last NPPES UpdateNovember 3, 2017

✔ NPI 1649454067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in KY · 31531

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 28235 (KY)

187 WOLFORD AVE, Liberty, KY 42539

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Other Names 1

Doing Business AsCasey County Hospital Medical Group

Other Identifiers 1

Medicaid65941304KY

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOUSAM I HADDAD M.D.

Internal Medicine